Karaçal Naci, Livaoglu Murat, Kutlu Necmettin, Arvas Leyla
Department of Plastic and Reconstructive Surgery, Karadeniz Technical University, Trabzon, Turkey.
Urology. 2007 Jul;70(1):170-2. doi: 10.1016/j.urology.2007.03.049.
Scrotal defects resulting from many factors, including accidents, Fournier's gangrene, and gunshot injuries, present difficulties in management and reconstruction. Antibiotic therapy must be given to all patients, and if necessary vigorous debridement must be performed. Because of the abundant vascularity of the region, local wound dressing results in dramatically rapid recovery of the wounds. In unsuitable conditions that prevent primary closure of the scrotal skin, thigh flaps may be used.
Proximally based neurovascular pudendal thigh flaps were used in 10 scrotal defects. Maximum dimensions of elevated flaps were 20 x 15 cm. All donor areas were closed primarily. Satisfactory results were achieved in all patients, especially in terms of sensitivity.
Neurovascular pudendal thigh flaps are an excellent reconstructive choice for scrotal defects because of being sensate and having minimal donor-site morbidity.
由多种因素导致的阴囊缺损，包括意外事故、福尼尔坏疽和枪伤，给治疗和重建带来了困难。所有患者均需接受抗生素治疗，必要时必须进行积极的清创术。由于该区域血管丰富，进行局部伤口包扎可使伤口非常迅速地愈合。在阴囊皮肤无法一期缝合的不合适情况下，可使用大腿皮瓣。
10例阴囊缺损患者采用了以近端为蒂的阴部神经血管大腿皮瓣。掀起皮瓣的最大尺寸为20×15厘米。所有供区均一期缝合。所有患者均取得了满意的效果，尤其是在感觉方面。
阴部神经血管大腿皮瓣是阴囊缺损的一种极佳重建选择，因为它具有感觉功能且供区并发症极少。
